Individual
MRS. STEPHANIE TEDFORD GARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2303 KENMORE AVE, BUFFALO, NY 14207-1311
(716) 876-7505
Mailing address
2495 MAIN ST STE 234, BUFFALO, NY 14214-2152
(716) 836-5929
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006905
NY
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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